The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA.
The nurse interprets this information as indicating which part as the presenting part?.
Face.
Shoulder.
Occiput.
Buttocks.
The Correct Answer is D
Choice A rationale:
The face as the presenting part is not indicated by LSA. LSA stands for Left Sacrum Anterior, which indicates the baby’s position in the womb.
Choice B rationale:
The shoulder as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice C rationale:
The occiput as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice D rationale:
The buttocks as the presenting part is indicated by LSA. LSA (Left Sacrum Anterior) means the baby’s sacrum (buttocks) is presenting, and it is oriented to the mother’s left side and is facing forward (anterior).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A slight increase in blood pressure during contractions is normal.
Choice B rationale:
A white blood cell count of 12,000 cells/mm is within the normal range.
Choice C rationale:
A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.
Choice D rationale:
A heart rate increase from 76 bpm to 90 bpm is within the normal range.
Correct Answer is A
Explanation
Choice A rationale:
This statement is incorrect. While continuous internal electronic fetal monitoring does limit mobility, it doesn’t require the woman to stay completely still.
Choice B rationale:
This is correct. An electrode may be inserted into the baby’s scalp to monitor heart rate.
Choice C rationale:
This is also correct. Internal monitoring provides the most accurate and continuous data about the baby’s heart rate.
Choice D rationale:
This is correct. The membranes must rupture before the electrode can be inserted.
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